| NPI | 1770540627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1171273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3119) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-04-24 |